Thomas Chanthea Bill, DDS
Student in an Organized Health Care Education/Training Program in Compton, CA. Individual provider (NPI-1).
NPI number1760102834
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1760102834
- Entity type
- Individual (NPI-1)
- Name
- Thomas Chanthea Bill
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2022
- Certification date
- Aug 23, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
Practice location
821 W Rosecrans AveCompton, CA 90222-3821
Phone 310-604-4000
Mailing address
1384 Rose Garden LnCupertino, CA 95014-5231
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